Organization
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
Active
Other names
South Mountain Restoration Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY LIGHT (ADMINISTRATOR)
(717) 772-2518
Entity
Organization
Contact information
Practice address
10058 S MOUNTAIN RD, SOUTH MOUNTAIN, PA 17261-0900
(717) 749-4000
(717) 749-4071
Mailing address
10058 S MOUNTAIN RD, SOUTH MOUNTAIN, PA 17261-0900
(717) 749-4000
(717) 749-4071
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100308518
—
PA
Enumeration date
11/25/2005
Last updated
10/04/2021
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